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Epinephrine

  • Dietary supplement
  • Varies by country
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Epinephrine does in the body

RNAWiki has not recorded what this substance changes in the body.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
Not usually supervised: sold as a supplement or food ingredient where recorded. That is a legal category, not a safety judgement.

What the registries record it as

  • The supplement label database classes it as animal part or source, under the name Bovine (not specified).

    NIH Dietary Supplement Label Database · 1673 · read 2026-08-29

  • 6 registered substances share the start of this name, which is why a search for it can return more than one thing.

    FDA substance registry · WBQ2745YP2 · read 2026-08-29

Where each sentence above came from

No plain explanation of what this changes is stored.

No recorded use is stored in reader language.

No statement of the main limit is recorded.

The four opening statements run to 26 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Stand-in result

A stand-in result is a number measured because the real result takes too long.

A picture of it, and where the picture fails

It is like judging a journey by the speedometer rather than by arriving.

Where that stops being true. Speed does predict arrival. Many stand-in results do not predict the real one.

What people get wrong. A stand-in result is often reported as the result itself.

A surrogate endpoint substituted for a clinical endpoint, valid only where the substitution has been shown to hold.

Formulation

A formulation is the exact made-up form a substance comes in.

A picture of it, and where the picture fails

It is like the difference between a whole bean and instant coffee.

Where that stops being true. Coffee tastes different. A formulation can change how much reaches the blood.

What people get wrong. Two products with the same name are assumed to behave the same. They often do not.

The specific composition and physical form of a product, including salt, excipients and release profile.

Receptor

A receptor is a part of a cell that a signal fits into.

A picture of it, and where the picture fails

A receptor is like a lock waiting for one key.

Where that stops being true. A lock either opens or does not. A receptor can be half-triggered, or worn out.

What people get wrong. Fitting a receptor is read as causing a benefit. It causes a step, and nothing more.

A protein that binds a specific ligand and converts that binding into a cellular response.

Pathway

A pathway is a chain of steps inside a cell, each one setting off the next.

A picture of it, and where the picture fails

A pathway is like a row of dominoes.

Where that stops being true. Dominoes fall one way. Pathways loop back and can switch themselves off.

What people get wrong. Changing one step is read as changing the outcome. Other steps often absorb it.

An ordered series of molecular interactions producing a defined cellular change.

What happened in peopleRead from sources, not yet reviewed

What was measured, goal by goal

One row for each goal a registered study measured something for. One column for each kind of thing that could be measured.

Registered studies list 40 outcome measures that RNAWiki could read. A registered study says what someone planned to measure. It does not say what they found. 0 of the matched studies tested this substance, and 0 posted a result.

There is no single score. A strong test result and a weak life result are different facts.

Goals down the side, kinds of measurement across the top. Each cell says what kind of thing was registered, not what was found.
GoalLife outcomeWhat a body can doHow a person feelsA test resultA step in the bodyHarmsHow longWho was studied
PainWaiting for a reviewer1 registered study measure of this kind. No reviewed result yet.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Waiting for a reviewer7 registered symptom measure.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Healthy ageingWaiting for a reviewer1 registered study measure of this kind. No reviewed result yet.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Nothing in the sources checkedNo registered study lists a symptom measure for this goal.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
FocusNothing in the sources checkedNo registered study lists a life outcome for this goal.Nothing in the sources checkedNo registered study lists a performance measure for this goal.Nothing in the sources checkedNo registered study lists a symptom measure for this goal.Nothing in the sources checkedNo registered study lists a test result for this goal.Nothing in the sources checkedNo registered study lists a body-step measure for this goal.Not recordedHarms were not a registered measure for this goal.Not recordedNo finished study window is recorded.Waiting for a reviewerWho was studied is listed further down the page.
Which registered measures put each goal on this table
Pain
amount of pain medication taken per day; pain at rest; pain; numerical rating scale pain scores during hospitalization; post operative pain; maximum postoperative pain; pain as assessed by visual analog scale; post operative pain scores
Healthy ageing
hospital mortality
Focus
post operative cognitive dysfunction at 3 months

Sorted by fixed word lists, version v1. A name the rules do not recognise stays unsorted rather than moving to the nearest column.

What each mark on this table means
Waiting for a reviewer
1 registered study measure of this kind. No reviewed result yet.
Nothing in the sources checked
No registered study lists a performance measure for this goal.
Not recorded
Harms were not a registered measure for this goal.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Community-acquired pneumonia: All-cause mortality (with subsidiary analyses of cause of death and of death at various timepoints following discharge)

The study did not show it

Who was studied
NCT04381936
How many people
70000
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route.

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • NIH Dietary Supplement Label Database · a recorded source, not a stored snapshot
  • Europe PMC · a recorded source, not a stored snapshot

The First Occurrence of the Composite Primary Efficacy Outcome, Myocardial Infarction (MI), Stroke, or Cardiovascular (CV) Death

The study did not show it

Who was studied
NCT01776424
How many people
27395
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route.

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • NIH Dietary Supplement Label Database · a recorded source, not a stored snapshot
  • Europe PMC · a recorded source, not a stored snapshot

Postoperative Acute Kidney Injury

The study did not show it

Who was studied
NCT02726620
How many people
22435
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route.

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • NIH Dietary Supplement Label Database · a recorded source, not a stored snapshot
  • Europe PMC · a recorded source, not a stored snapshot

All-cause mortality

The study did not show it

Who was studied
NCT02735707
How many people
20000
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route.

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • NIH Dietary Supplement Label Database · a recorded source, not a stored snapshot
  • Europe PMC · a recorded source, not a stored snapshot

Frequency of PA testing orders by provider

The study did not show it

Who was studied
NCT05925569
How many people
12501
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route.

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • NIH Dietary Supplement Label Database · a recorded source, not a stored snapshot
  • Europe PMC · a recorded source, not a stored snapshot

Maternal oral and tympanic temperature

The study did not show it

Who was studied
NCT01708668
How many people
12000
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route.

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • NIH Dietary Supplement Label Database · a recorded source, not a stored snapshot
  • Europe PMC · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What happened in peopleRead from sources, not yet reviewed

How close this is to real life

The top step is something a person would feel or care about. The bottom is a guess from software. Filled steps are where evidence exists for this substance.

  1. Living longer, or avoiding a major event Evidence recorded. Death, a heart attack, a stroke, a hospital stay.4 registered measures of this kind. 2 written-up studies measured this and did not show a benefit.
  2. What a body can do day to day No evidence recorded. Walking, dressing, breathing, recovering.No registered study measures this.
  3. Measured performance No evidence recorded. How much was lifted, how far was run, how fast.No registered study measures this.
  4. Symptoms and quality of life Evidence recorded. Pain, tiredness, mood, sleep, as the person rated it.9 registered measures of this kind.
  5. A number that stands in for health Evidence recorded. Cholesterol, blood sugar, bone density. A stand-in, not the thing itself.1 registered measure of this kind.
  6. A step measured inside a person Evidence recorded. Something measured in human tissue or human cells.A human record sits on the stored organism ladder.
  7. Animals Evidence recorded. Mice, rats, dogs. Useful for ideas, not proof about people.Stored records in Mouse, Rat, Dog. A result in animals says what to test next. It does not say what happens in people.
  8. Cells in a dish Evidence recorded. Cells or chemistry on a bench, far from a whole body.Stored mechanism abstracts describe steps measured in cells or tissue.
  9. A guess from software No evidence recorded. Nobody measured it. RNAWiki never publishes one as a finding.RNAWiki stores no prediction for this record. Software can suggest a link. RNAWiki does not publish one as a finding.

Higher on these steps means closer to something a person would feel. It does not mean better done.

What it would be like to takeRead from sources, not yet reviewed

Felt, measured, or meaningful

Three different things that get called the same word. Registered studies measured all three, and mixing them is how a blood test becomes a health claim.

Felt

Things a person could notice without a test.

  • amount of pain medication taken per day
  • pain at rest
  • hypoglycemic symptom scores morphine sulfate study
  • hypoglycemic symptom scores naloxone study
  • pain
  • post operative pain
  • maximum postoperative pain
  • pain as assessed by visual analog scale
  • post operative pain scores

Measured

Things only a test, a scale or a device shows.

  • blood pressure

Meaningful

Things that change how a life goes, not only a number.

  • survival at hospital admission
  • survival to hospital discharge
  • numerical rating scale pain scores during hospitalization
  • hospital mortality

A registered study says what someone planned to measure. It does not say what they found. A number moving is not the same as a life going better. The two are shown apart here.

Felt, but not shown to help. A person notices a change. No study showed it leads anywhere good.

Measured, but not felt. A number moves. The person notices nothing. Both can be true.

Measured, but not shown to matter. A number moves in the good direction. Nobody showed that lives went better.

Matters, but takes years. The result that counts may take longer than anyone would keep watching.

Names that fit none of the three (26)
  • hypoglycemia
  • return of spontaneous circulation
  • length of hospital stay
  • knee range of motion
  • knee society scores
  • satisfaction
  • counterregulatory response to hypoglycemia naloxone study
  • occurrence of postreperfusion syndrome
  • perfusion index from baseline
  • transfer function after pressor infusion
  • adverse events
  • who passed the voiding trial after a midurethral sling
  • intraoperative blood loss
  • map while on vasopressors
  • operative blood loss
  • surgical conditions
  • who developed post ercp pancreatitis
  • postoperative opioid consumption
  • length of stay in hospital
  • bleeding

These are harms, study-process measures, or names the rules did not recognise. They are shown rather than dropped.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

No description of who was studied is recorded.

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied for a different goal

The studies measured something else entirely.

On this record: Some registered studies measured things that match no goal on this page.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

A different form was studied

The studied form is not the form on the shelf.

On this record: This record is linked to 1 related forms. Evidence does not carry across all of them.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (9)
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Varies by country

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No form or route is recorded.

No source is stored against this line.

Who oversees it

Not usually supervised: sold as a supplement or food ingredient where recorded. That is a legal category, not a safety judgement.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

The identity record classes it as a supplement ingredient; no medicines register records an approval.

No source is stored against this line.

What is in the pack

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing is recorded about product quality.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Reports sent to a regulator

  • These are reports people sent to a regulator. They do not show the medicine caused the reaction.
  • Nobody counted how many people took the medicine and reported nothing.
  • The same event can be reported more than once, and many reports are incomplete.
  • News coverage, lawsuits and new warnings change how often people report.
  • A count is not a rate and not a risk.

Epinephrine appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 3543 reaction mentions were counted. One report can name several reactions.

The recorded terms (10)
  • hypotension — 615 reaction mentions
  • drug hypersensitivity — 497 reaction mentions
  • toxicity to various agents — 426 reaction mentions
  • anaphylactic reaction — 419 reaction mentions
  • bradycardia — 318 reaction mentions
  • anaphylactic shock — 300 reaction mentions
  • tachycardia — 293 reaction mentions
  • cardiac arrest — 284 reaction mentions
  • stress cardiomyopathy — 208 reaction mentions
  • anaesthetic complication — 183 reaction mentions
  • open-targets-adr · recorded 2026-06-24 · a recorded source, not a stored snapshot

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

The exact form studied is not recorded.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 808 marketed supplement labels list this ingredient, classed as non-nutrient/non-botanical, other combinations and animal part or source.

    NIH Dietary Supplement Label Database · 11603 · read 2026-08-29

  • Those labels carry all other, nutrient and structure/function claims. A claim of that kind is written by the manufacturer and is not assessed by any regulator, so its presence says nothing about whether it is true.

    NIH Dietary Supplement Label Database · 11603 · read 2026-08-29

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

Names and forms linked to this record

  • Racemate of

    Racepinefrine

    Evidence on this page does not automatically apply to this one.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

Watching one thing carefully can tell you whether it moved. It cannot tell you what moved it.

This is sold without a prescription, so a person can sensibly watch one thing and see whether it moves.

  1. Pick one goal. One goal only. Two at once cannot be told apart afterwards.

  2. Pick one thing to watch. Registered studies measured things like: blood pressure.

  3. Measure before you start. Take the same measurement several times first. One reading is not a starting point.

  4. Know the swing. Write down how much it moves on its own across a normal week.

  5. Change one thing. Change nothing else at the same time, including training and sleep.

  6. Give it the study length. No finished study window is recorded, so no length is suggested here.

  7. Track whether you took it. Missed days are the most common reason a home test shows nothing.

  8. Read the trend. Look at the line across weeks. A single reading tells you almost nothing.

What not to measure

  • Anything that swings more day to day than the change you are looking for.
  • A wearable estimate of sleep stages, which is an estimate and not a measurement.
  • Weight on one morning, which mostly records water.
  • A feeling you did not write down before starting, such as: amount of pain medication taken per day.

When to stop

  • Stop if something new and unpleasant starts, and ask a pharmacist or doctor.
  • Stop if you cannot keep everything else steady, because the result will not mean anything.
  • Stop at the end of the window you set, and read the trend then.

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki does not work out an amount for anyone.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Epinephrine are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleNothing found in the sources checked

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

Nothing found in the sources checked

No traced study record is stored for this substance.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Not passed

    Every public sentence names a source

    The opening statement carries no source: the record holds neither an explanation nor a recorded use.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

    enforced by the copy-contract test over the rendered page

  • Passed

    Safety mode resolved

    The identity record classes it as a supplement ingredient; no medicines register records an approval.

  • Passed

    Canonical metadata present

    slug and display name present

What is missing or unclearRead from sources, not yet reviewed

What to learn next

Ordered by what would most change how you read this page, starting with what is easiest to misunderstand.

This order is fixed in code and does not count clicks or time on the page.

What is not here

7 questions this page could not answer

These sections were prepared and left out because there was nothing to put in them. They are listed rather than hidden, so the gaps in this record are visible.

  • The path through the body — found nothing in the sources checked.
  • How long anything takes — found nothing in the sources checked.
  • What it may clash with — found nothing in the sources checked.
  • Other ways to the same goal — found nothing in the sources checked.
  • Claims that go past the evidence — found nothing in the sources checked.
  • How this medicine reached us — found nothing in the sources checked.
  • What changed on this page — found nothing in the sources checked.

The record as stored

The full record, for auditing

Everything above is built from what is below. This layer keeps the technical vocabulary, record identifiers and every stored row, so a reader who wants to check the page can.

Recorded evidence blocks (12)

What did Epinephrine's largest trial (22435 people) and its longest (21 years) measure?


22435 people in Epinephrine's largest registered study, 21 years in its longest registered window, measuring Hospital mortality. ClinicalTrials.gov · 2026-09-01

73 phase4, 70 na, 33 phase2, 28 phase3, 22 phase1, 7 early phase1, 2 na or unstated; NCT01059786; 2031-06-30. Last human test completed 2026, NCT06418308.

Interpretation These counts include studies where Epinephrine was a comparison treatment, a background treatment or an exposure in an observational study, and the longest window may be a planned end date. Trial roles have not yet been classified for this record.

Show the evidence
  • phase4
    73
  • na
    70
  • phase2
    33
  • phase3
    28
  • phase1
    22
  • early phase1
    7
2 more recorded rows
  • na or unstated
    2
  • Last recorded human test NCT06418308
    2026-05-21

recorded 2026-09-01 · last checked 2026-09-04

From mouse to human: where has Epinephrine shown lifespan?


mouse: biomarker, rat: mechanism-only, dog: biomarker and human: lifespan (219): the rungs where Epinephrine has a recorded finding. Europe PMC and ClinicalTrials.gov · organism ladder · 2026-09-01

Interpretation Hospital mortality — the recorded outcome words.

Yeast C. elegans Drosophila Mouse biomarkerRat mechanism-onlyDog biomarkerNon-human primate Human lifespan
Show the evidence
  • mouse
    biomarker
  • rat
    mechanism-only
  • dog
    biomarker
  • human NCT02118467
    lifespan; Hospital mortality; 219

recorded 2026-09-01 · last checked 2026-09-04

21 of Epinephrine's trials stopped: safety, futility/efficacy, accrual/recruitment, sponsor decision unspecified, other?


safety (1), futility/efficacy (2), accrual/recruitment (7), sponsor decision unspecified (1) and other (10): Epinephrine's stop wording, clustered. ClinicalTrials.gov · 2026-09-01

"Difficult accrual"; 21 of 219 registered studies

Show the evidence

Trial

  • NCT00401882
    terminated; "Difficult accrual"
  • NCT00548886
    terminated; "Lack of enrollment"
  • NCT00678145
    terminated; "Protocol was terminated due to enrollment + feasibility issues. Aim 2 not conducted. Aims 1 + 3 were conducted in part. During Aim 3 the IRB requested that the study be transitioned under a new protocol (2018-9208) in order to simplify…"
  • NCT01025648
    terminated; "Optimization of protocol"
  • NCT01737892
    terminated; "unable to validate analytical method"
  • NCT01759407
    terminated; "Interim analysis showed no significant difference between study arms."
14 further recorded trials
  • NCT02164929
    terminated; "Poor recruitment"
  • NCT02365727
    withdrawn; "Protocol not feasible as written"
  • NCT02428062
    suspended; "Pending Pilot study results evaluation"
  • NCT02570503
    terminated; "Study's primary aims are no longer clinically impactful, as intrathecal morphine has fallen out of favor and replaced with different agents so that outpatient/23 hr surgery is more predictably achievable."
  • NCT02571283
    withdrawn; "PI decided to focus on more current topics of interest."
  • NCT02586961
    terminated; "Removal of Adrénaline lots for safety reasons."
  • NCT02895035
    terminated; "Data analysis was never performed by sub-investigator"
  • NCT02959112
    terminated; "Because previous studies had found no difference, and one recent study even reported a higher incidence of PEP in treatment arm"
  • NCT03335293
    withdrawn; "Due to FDA constraints on the off label use of the medications we will not be able to conduct this evaluation."
  • NCT03383588
    terminated; "study was published during initial recruitment that showed no difference"
  • NCT03408340
    terminated; "The study activities were suspended due to COVID-19, and the interim analysis did not yield positive results once resumed."
  • NCT03513445
    withdrawn; "No participants enrolled"
  • NCT04148261
    withdrawn; "Principal Investigator left lab before study start"
  • NCT05972681
    terminated; "Difficulty with enrollment"

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Epinephrine used epinephrine (1 mg/1 mL) — over how long?


Human studies of Epinephrine used "epinephrine (1 mg/1 mL)". ClinicalTrials.gov · 2026-09-01

20 recorded entries; human; inhalation, intrathecal; also "Epinephrine 1mg", "E004 (epinephrine inhalation aerosol), 90 mcg/actuation", "E004 (epinephrine inhalation aerosol), 125 mcg"

Show the evidence

human

  • NCT00127907
    epinephrine (1 mg/1 mL)
  • NCT00622817
    Epinephrine 1mg
  • NCT01025648
    inhalation; E004 (epinephrine inhalation aerosol), 90 mcg/actuation
  • NCT01025648
    inhalation; E004 (epinephrine inhalation aerosol), 125 mcg
  • NCT01025648
    inhalation; E004 (epinephrine inhalation aerosol), 220 mcg
  • NCT01025648
    inhalation; E004 (epinephrine inhalation aerosol), 160 mcg
14 more recorded rows
  • human NCT01188577
    inhalation; HFA epinephrine inhalation aerosol, 125 mcg/inhalation
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 6 mg with 100 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 7 mg with 100 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 8 mg with 100 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 9 mg with 100 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 10 mg with 100 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 11 mg with epinephrine 100 mcg
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 6 mg with 200 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 7 mg with 200 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 8 mg with 200 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 9 mg with 200 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 10 mg with 200 mcg of epinephrine
  • human NCT01264575
    intrathecal; intrathecal bupivacaine 11 mg with 200 mcg of epinephrine
  • human NCT01737892
    inhalation; Arm T Epinephrine Inhalation Aerosol HFA, 125 mcg, 1 inhalation

recorded 2026-09-01 · last checked 2026-09-04

Could one person measure Epinephrine's effect on survival at hospital admission?


Survival at hospital admission: measured in Epinephrine's trials.

Interpretation survival at hospital admission is the recorded endpoint.

Show the evidence

biomarkers

  • survival at hospital admission; 2026-09-01
  • hypoglycemia; 2026-09-01
  • survival to hospital discharge; 2026-09-01
  • return of spontaneous circulation; 2026-09-01
  • length of hospital stay; 2026-09-01
  • knee range of motion; 2026-09-01
14 more recorded rows
  • biomarkers
    knee society scores; 2026-09-01
  • biomarkers
    amount of pain medication taken per day; 2026-09-01
  • biomarkers
    satisfaction; 2026-09-01
  • biomarkers
    pain at rest; 2026-09-01
  • biomarkers
    counterregulatory response to hypoglycemia naloxone study; 2026-09-01
  • biomarkers
    hypoglycemic symptom scores morphine sulfate study; 2026-09-01
  • biomarkers
    hypoglycemic symptom scores naloxone study; 2026-09-01
  • biomarkers
    pain; 2026-09-01
  • biomarkers
    numerical rating scale pain scores during hospitalization; 2026-09-01
  • biomarkers
    occurrence of postreperfusion syndrome; 2026-09-01
  • biomarkers
    perfusion index from baseline; 2026-09-01
  • biomarkers
    post operative pain; 2026-09-01
  • biomarkers
    transfer function after pressor infusion; 2026-09-01
  • biomarkers
    adverse events; 2026-09-01
  • half life
    2026-09-04; halfLife; 2026-08-10
  • human trials at or under30
    52
  • smallest human trial
    0; NCT00605774; NA; the smallest recorded human enrolment at or below 30; the registry states no direction of its result; WITHDRAWN

Which of Epinephrine's 31 ongoing trials reports first?


31 registered trials of Epinephrine are open; earliest completion 2025-10. ClinicalTrials.gov · 2026-09-01

Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR); Hospital mortality; latest 2031-09-30

Show the evidence

Trial

  • NCT01059786
    "Randomized Phase II Trial of Rituximab With Either Pentostatin or Bendamustine for Multiply Relapsed or Refractory Hairy Cell Leukemia"; n 69; "Number of Participants Receiving Pentostatin + Rituximab and Bendamustine + Rituximab Who Achieve a Complete Remission (CR) + Partial Response (PR)"; 2031-06-30
  • NCT02118467
    "Vasoactive Drugs in Intensive Care Unit"; n 836; "Hospital mortality"; 2026-12-01
  • NCT03826524
    "Epinephrine Dose: Optimal Versus Standard Evaluation Trial"; n 3790; "Survival to hospital discharge"; 2028-12
  • NCT04592744
    "Angiotensin 2 for AKI After OLT"; n 30; "Incidence of Acute kidney Injury"; 2026-12
  • NCT04750070
    "Management of Shock in Children With SAM or Severe Underweight and Diarrhea"; n 135; "Case fatality rate"; 2025-11-30
  • NCT04964869
    "Efficacy of Prophylactic Epinephrine Solution Injection in Prevention of Delayed Post-sphincterotomy"; n 400; "post EST bleeding rate"; 2030-12
14 further recorded trials
  • NCT05019638
    "Local Multimodal Injection Versus Regional Anesthesia in Controlling Pain for Treating Rotational Ankle Fractures"; n 200; "Visual Analog Scale (VAS) pain"; 2028-05
  • NCT05037812
    "Role of Multimodal Analgesia in Decreasing Perioperative Pain in Tibial Plateau Fractures"; n 150; "Visual Analog Scale (VAS) pain"; 2028-03
  • NCT05166343
    "POHCA Resuscitation: Evaluation of IM Epinephrine"; n 284; "Time to initial return of spontaneous circulation (ROSC)"; 2029-01
  • NCT05224089
    "Bilateral TAP and RS Blocks Using Liposomal Bupivacaine/Bupivacaine vs. Regular Bupivacaine in Laparoscopic Colectomy"; n 114; "The highest Numerical Pain Scores"; 2026-02
  • NCT05488847
    "Opioid-Free Pain Protocol After Shoulder Arthroplasty"; n 83; "Pain Levels"; 2026-09-01
  • NCT05738148
    "Vasopressin vs. Epinephrine During Neonatal Cardiopulmonary Resuscitation"; n 8; "Time to ROSC (Return of spontaneous Circulation)"; 2028-02-28
  • NCT05996133
    "Multifidus Cervicis Plane Block Vs. Sham Block For Posterior Cervical Spine Fusion Surgery"; n 38; "The maximum postoperative pain score"; 2027-06-30
  • NCT06416969
    "Regional Lipolysis and Adipocyte Lipolysis Protein Stimulation"; n 24; "Free Fatty Acid (FFA) release from femoral, splanchnic and upper body subcutaneous adipose tissue"; 2028-01-01
  • NCT06789575
    "Comparison of Bupivacaine Wound Infiltration Versus Wound Instillation to Minimize Postoperative Pain After Thyroid Surgery"; n 102; "Total analgesic consumption"; 2027-05-01
  • NCT06834165
    "Study Evaluating the Safety and Efficacy of Neffy or Intramuscular Adrenalin in Patients With Allergic Reactions After Oral Food Challenge or Allergen Immunotherapy"; n 600; "AEs after epinephrine treatment within 2 hours"; 2027-06
  • NCT06847568
    "The Investigator Administers Intracoronary Adrenaline Via the Catheter in STEMI Patients During Primary PCI, After Flow Restoration and Before Stenting, and Studies Its Effect in Prevention of No Reflow"; n 1000; "No-relow"; 2026-04-30
  • NCT06927999
    "An Outpatient Study of the Efficacy of ARS-2 in Patients With Chronic Spontaneous Urticaria"; n 42; "Determine the effect of ARS-2 (0.5 mg or 1 mg) versus placebo on itch and hive"; 2027-06
  • NCT07084753
    "Non-opioid Anesthesia Based on Thoracic Paravertebral Block During Laparoscopic Sleeve Gastrectomy"; n 36; "a) Postoperative pain levels measured by the 0-10 Numerical rating scale (NRS). b) Opioid analgesic consumption (Morphine milligram equivalents- MME)."; 2025-10
  • NCT07092566
    "R.E.C.K vs Exparel in Robotic Nephrectomy"; n 170; "Area Under the Curve (AUC) of the Numeric Rating Scale (NRS) pain intensity scores through 7 days (168 hours) for participants receiving Exparel vs. R.E.C.K."; 2027-10

recorded 2026-09-01 · last checked 2026-09-04

Which running trial of Epinephrine could settle lifespan?


NCT02118467 measures Hospital mortality, reading out 2026-12-01.

3 open trials; n 836; "Vasoactive Drugs in Intensive Care Unit"

Show the evidence

Trial

  • NCT02118467
    "Vasoactive Drugs in Intensive Care Unit"; n 836; "Hospital mortality"; 2026-12-01
  • NCT03826524
    "Epinephrine Dose: Optimal Versus Standard Evaluation Trial"; n 3790; "Survival to hospital discharge"; 2028-12
  • NCT07667829
    "Vasopressor Agents in Pulmonary Hypertension Crisis"; n 75; "All-cause mortality within 28 days"; 2029-01-31

Which 74 trials of Epinephrine posted no result?


Posted no result
74 of 74 completed trials
Registrations
NCT00134212, NCT00622817, NCT00446017, NCT00322660, NCT00127907 and NCT00121524, and 68 more
Completion dates
oldest 2004-06; newest 2024-09-03
Show the evidence

Trial

  • NCT00134212
    2004-06
  • NCT00622817
    2005-03
  • NCT00446017
    2007-04
  • NCT00322660
    2007-06
  • NCT00127907
    2007-10-01
  • NCT00121524
    2008-06
14 further recorded trials
  • NCT01116609
    2010-01
  • NCT01418118
    2010-02
  • NCT00628550
    2010-10
  • NCT01291186
    2010-12
  • NCT01264575
    2011-01
  • NCT01261078
    2011-07
  • NCT01432522
    2011-09
  • NCT01264653
    2011-12
  • NCT01357642
    2011-12
  • NCT01476904
    2012-07
  • NCT01887405
    2012-09
  • NCT01989312
    2013-02
  • NCT01991288
    2013-07
  • NCT01560702
    2013-09

At the median, Epinephrine's trials enrolled 74 people — anything larger?


Median enrolment
74
Largest enrolment
22435
Registered trials counted
219

What do 3543 spontaneous reports say about Epinephrine — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Epinephrine appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 3543 reaction mentions were counted: hypotension 615; drug hypersensitivity 497; toxicity to various agents 426; anaphylactic reaction 419. open-targets-adr · CHEMBL1256958 · 2026-06-24

Show the evidence
  • hypotension
    615
  • drug hypersensitivity
    497
  • toxicity to various agents
    426
  • anaphylactic reaction
    419
  • bradycardia
    318
  • anaphylactic shock
    300
4 more recorded rows
  • tachycardia
    293
  • cardiac arrest
    284
  • stress cardiomyopathy
    208
  • anaesthetic complication
    183

recorded 2026-06-24 · last checked 2026-09-04

Was Epinephrine studied with exercise?


exercise is named in Epinephrine's label sentences: "Plasma catecholamines (epinephrine, norepinephrine, and dopamine) elevations in response to exercise were significantly higher in the HH trial than in the other three trials (p < 0.05)." openfda-label+europepmc · 2024-06-23

1 recorded statement; exercise

Show the evidence
  • exercise
    Plasma catecholamines (epinephrine, norepinephrine, and dopamine) elevations in response to exercise were significantly higher in the HH trial than in the other three trials (p < 0.05).

recorded 2024-06-23 · last checked 2026-09-04

What is recorded about Epinephrine and AMPK?


"The integrated analysis of metabolomics and transcriptomics suggests that under cold stress, energy homeostasis is primarily regulated by the coordinated action of the AMPK and PPAR signaling pathways, with potential modulation by metabolites like epinephrine." — where Epinephrine and AMPK appear together. Europe PMC · pathway abstract search · 2024-03-01

AMPK, mTOR, IGF-1, autophagy; PMID 38395404, 37764858, 33208818, 32856615

Show the evidence
  • AMPK
    "The integrated analysis of metabolomics and transcriptomics suggests that under cold stress, energy homeostasis is primarily regulated by the coordinated action of the AMPK and PPAR signaling pathways, with potential modulation by metabolites like epinephrine."
  • mTOR PMID 38395404
    "Furthermore, when adipocytes isolated from the harvested adipose tissue of 15 healthy cows were transfected with DGAT1 overexpression adenovirus or DGAT1 small interfering RNA followed by exposure to epinephrine (EPI), it led to greater ratios and protein abundance of phosphorylated hormone-sensitive triglyceride lipase (LIPE) to total LIPE and adipose triglyceride lipase (ATGL), while inhibiting…"

IGF-1

  • PMID 37764858
    "Common anabolic stimuli/signals in skeletal muscle are hormones (insulin, growth hormones, IGF-1, androgens, and β-agonists such epinephrine), substrates (amino acids such as protein precursors on top, but also glucose and fat, as source of energy), metabolites (such as β-agonists and HMB), various biochemical/intracellular mediators), physical exercise, neurogenic and immune-modulating factors,…"
  • "Common anabolic stimuli/signals in skeletal muscle are hormones (insulin, growth hormones, IGF-1, androgens, β-agonists such epinephrine), substrates (amino acids as protein precursors on top, but also glucose and fat, as source of energy), metabolites (such as β-agonists and HMB), some cytokines, various biochemical/ intracellular mediators), physical exercise, neurogenic and immune-modulating…"

AMPK

  • PMID 33208818
    "The alpha-1-adrenergic receptors (α<sub>1</sub>-AR) facilitate Epinephrine (Epi)-mediated AMPK activation, linking metabolism and kidney function."
  • PMID 32856615
    "In vitro, epinephrine treatment upregulated PDK4 expression, inhibited AMPK phosphorylation and enhanced IRS1 phosphorylation."
  • autophagy PMID 30070610
    "In a separate series of experiments, we show that insulin stimulates ULK1 phosphorylation at Ser<sup>757</sup> (inhibitory site) in both hypoglycemic and euglycemic conditions, suggesting that counterregulatory hormones (such as epinephrine, norepinephrine, growth hormone, and glucagon) have limited effects on autophagy signaling in human skeletal muscle."

recorded 2024-03-01 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL1256958
PubChem CID
5815
CAS number
51-42-3
RxCUI
203180
InChIKey
UCTWMZQNUQWSLP-VIFPVBQESA-N

Relations

Also called
EPINEPHRINE BITARTRATE, Adrenaline bitartate, Epinephrini hydrogenotartras, EPINEPHRINE HYDROCHLORIDE, Adrenalinum, Epinefrina, Epinephrinum, Glauposine, Neffy, Nephridine, Racepinefrine, (r)-
Salt form
Adrenaline acid tartrate, Adrenaline (as tartrate), Adrenalin tartrate, Epinephrine bitartrate component of duranest, Epinephrine bitartrate component of lignospan forte, Epinephrine bitartrate component of orabloc, Epinephrine bitartrate component of sensorcaine, Epinephrine bitartrate component of septocaine, Epinephrine d-bitartrate, Epinephrine hydrogen tartrate, Epinephrine tartrate, L-epinephrine hydrogen tartrate
Trade name
Bronitin, Bronitin mist, Medihaler-epi, Adrenaclick, Adrenalin, Adren co, Ana-guard, Ana-kit, Anapen, Anaphylactic shock drug kit, Asma-vydrin, Asthmahaler
Development code
NSC-756755, NSC-62786
Sources (11)

Sources

  • ClinicalTrials.gov clinicaltrials.gov ·
  • ClinicalTrials.gov ClinicalTrials.gov API v2 snapshot 2026-09-01T09:00:05 ·
  • this record's own fields 2,3,5 ·
  • Europe PMC dose-response search ·
  • Europe PMC pathway abstract search ·
  • Europe PMC search ·
5 more sources

ClinicalTrials.gov — US Government work · Europe PMC — metadata only, under the recorded legal gate · Open Targets 26.06 — CC0 · derived from this page's own recorded fields; no external licence · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 4 required field(s) not terminal: Best-supported result, Most important common problem, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 11 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

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